| Brandycreek Family Counseling Llc | |
|
6501 Mechanicsville Tpke Ste G3 Mechanicsvlle VA 23111-3698 | |
| (804) 417-6525 | |
| (804) 299-4727 |
| Full Name | Brandycreek Family Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 6501 Mechanicsville Tpke Ste G3, Mechanicsvlle, Virginia |
| Authorized Official Name and Position | Kathryn Webb (PRESIDENT) |
| Authorized Official Contact | 8044176525 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brandycreek Family Counseling Llc 7416 Washington Arch Dr Mechanicsvlle VA 23111-4732 Ph: (804) 417-6525 | Brandycreek Family Counseling Llc 6501 Mechanicsville Tpke Ste G3 Mechanicsvlle VA 23111-3698 Ph: (804) 417-6525 |
| NPI Number | 1801529946 |
|---|---|
| Provider Enumeration Date | 07/06/2022 |
| Last Update Date | 07/06/2022 |
| Certification Date | 07/06/2022 |
| Medicare PECOS PAC ID | 9739562471 |
|---|---|
| Medicare Enrollment ID | O20220813000214 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801529946 | NPI | - | NPPES |
| 1326449851 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Kathryn Webb |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326449851 PECOS PAC ID: 7911287073 Enrollment ID: I20161206002440 |
Treatment Within Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6501 Mechanicsville Tpke Ste 202, Mechanicsvlle, VA 23111 Phone: 804-216-1533 Fax: 804-216-1533 |